Job Description

Job Title :
Credentialing Specialist
Qualification :
Any Graduates
Relevant Experience :
2-6 Years
Must Have Skills :
1. Provider enrollment and payer credentialing expertise
2. Strong knowledge of CAQH, Medicare, Medicaid, and commercial payer processes
3. Experience in contracting and re-credentialing workflows
4. Primary source verification and compliance management
5. Excellent communication and stakeholder management skills
6. Strong organizational and multitasking abilities
Good Have Skills :
1. CPCS / CPMSM certification
2. Experience with U.S. healthcare systems and regulations
Roles and Responsibilities :
1. Manage provider enrollment and payer credentialing processes for Medicare, Medicaid, and commercial payers
2. Maintain and update CAQH profiles, licenses, certifications, and insurance records
3. Conduct primary source verification and coordinate with providers/payers for approvals
4. Handle contracting, re-credentialing, renewals, and expirations
5. Ensure credentialing compliance with payer and regulatory standards
6. Track credentialing timelines and maintain accurate records in credentialing databases
7.Coordinate with internal teams and clients to resolve credentialing issues and delays
8. Deliver quality customer service throughout the credentialing lifecycle
Location :
Bengaluru
CTC Range :
4 Lpa – 6.5 Lpa
Notice Period :
Immediate to 15 days
Mode of Interview :
Virtual
Shift Timing :
US Shift
Mode of Work :
Work from Office

About Black and White Business Solutions Private Ltd

Incorporated in 2006, Black and White Business solutions Pvt Ltd has gradually developed today into a leading provider of manpower for some of the fortune 500 companies for their junior/ middle / senior and executive requirements. At Black and White Business Solutions, our sole job is to find individuals who are driven to succeed, and match them with companies that know how to reward success.Considered one of the top recruitment firms in Bangalore.

We are the pioneer of organized recruitment services in India. Over the years we have played the role as preferred recruitment partners to multinationals and leading Indian businesses which enabled us to emerge as the leading recruitment brand nationally.

We follow 360 degree holistic view of a candidate’s qualification, experience and most important personality traits.

We boast on the fact that we and have helped careers of over thousands of professionals through our work. Devoted to both clients and candidates, we power the world of work.

Industry

HR & Recruiting

Company Size

201-500 employees

Headquarters

Bangalore, IN

Year Founded

2006

Website

blackwhite.in

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